Ms Loretta C Derrick, | |
210 Jpm Rd, Lewisburg, PA 17837-9367 | |
(570) 524-6700 | |
(570) 524-6710 |
Full Name | Ms Loretta C Derrick |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 30 Years |
Location | 210 Jpm Rd, Lewisburg, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316932304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Evangelical Community Hospital | Lewisburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evangelical Medical Services Organization | 9133033087 | 244 |
Entity Name | Evangelical Medical Services Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834984 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
Mailing Address | Practice Location Address |
---|---|
Ms Loretta C Derrick, 210 Jpm Rd, Lewisburg, PA 17837-9367 Ph: (570) 524-6700 | Ms Loretta C Derrick, 210 Jpm Rd, Lewisburg, PA 17837-9367 Ph: (570) 524-6700 |
Mrs. Sandra Walker, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2499 Fax: 570-768-3911 | |
Mrs. Rosemary S Berg, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4144 Fax: 570-768-3911 | |
Mr. Gerald John Briskey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4144 Fax: 570-768-3911 | |
Elizabeth Bzdil Mahoney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Drive, Lewisburg, PA 17837 Phone: 570-522-2928 Fax: 570-522-4171 | |
Raymond John Tomaszewski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4144 Fax: 570-768-3911 | |
Mr. John F Isaacson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 210 Jpm Rd, Lewisburg, PA 17837 Phone: 570-524-6700 Fax: 570-524-6710 |